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BlueValue Select PPO Monthly Rates - Effective 1/01/2010

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RATES - AREA 1 - Use these rates if you live in Bartow, Butts, Cherokee, Clayton, Cobb, Coweta,
Dekalb, Douglas, Fayette, Forsyth, Fulton, Gwinnett, Henry, Newton, Paulding, Rockdale, Spalding, or Walton County

These rates are available for applicants enrolling January 1, 2010 through March 31, 2010.

	BLUE VALUE SELECT 500			BLUE VALUE SELECT 750			BLUE VALUE SELECT 1,000			BLUE VALUE SELECT 1,500
Age	Male	Female	Family	Male	Female	Family	Male	Female	Family	Male	Female	Family
0-19	$224.57	$224.57	$1034.17	$204.40	$204.40	$941.31	$175.42	$175.42	$807.82	$156.14	$156.14	$719.07
20-24	242.25	304.02	1189.93	220.50	276.73	1083.10	189.23	237.48	929.50	168.44	211.39	827.38
25-29	290.46	367.25	1352.00	264.38	334.28	1230.61	226.89	286.87	1056.09	201.96	255.36	940.06
30-34	308.14	471.90	1562.75	280.48	429.53	1422.45	240.70	368.62	1220.72	214.26	328.12	1086.61
35-39	393.17	556.93	1381.55	357.87	506.93	1257.51	307.12	435.04	1079.18	273.38	387.24	960.61
40-44	459.31	607.81	1305.73	418.07	553.23	1188.50	358.78	474.78	1019.95	319.36	422.62	907.89
45-49	592.30	745.40	1511.64	539.12	678.48	1375.92	462.67	582.26	1180.80	411.84	518.29	1051.07
50-54	725.54	817.59	1654.33	660.40	744.19	1505.79	566.74	638.65	1292.25	504.48	568.49	1150.28
55-59	903.59	926.36	1852.00	822.47	843.19	1685.72	705.83	723.62	1446.66	628.28	644.11	1287.72
60-64	1261.40	1108.78	2231.61	1148.14	1009.23	2031.25	985.32	866.11	1743.19	877.07	770.95	1551.67
65+*	1533.68	1351.76	2566.40	1395.99	1230.39	2335.98	1198.02	1055.90	2004.70	1066.39	939.90	1784.45

* For those not eligible for Medicare

RATES - AREA 2 - Use these rates if you live in Baker, Banks, Carroll, Dawson, Floyd, Gordon, Hall,
Haralson, Heard, Lumpkin, Mitchell, Murray, Pickens, Polk, Sumter, Union, White or Whitfield County.

These rates are available for applicants enrolling January 1, 2010 through March 31, 2010.

	BLUE VALUE SELECT 500			BLUE VALUE SELECT 750			BLUE VALUE SELECT 1,000			BLUE VALUE SELECT 1,500
Age	Male	Female	Family	Male	Female	Family	Male	Female	Family	Male	Female	Family
0-19	$215.31	$215.31	$991.56	$195.98	$195.98	$902.53	$168.19	$168.19	$774.54	$149.71	$149.71	$689.44
20-24	232.27	291.50	1140.91	211.42	265.33	1038.47	181.43	227.70	891.20	161.50	202.68	793.29
25-29	278.49	352.12	1296.29	253.49	320.51	1179.91	217.54	275.05	1012.58	193.64	244.83	901.33
30-34	295.45	452.46	1498.37	268.92	411.84	1363.84	230.78	353.43	1170.43	205.43	314.60	1041.84
35-39	376.97	533.99	1324.63	343.13	486.04	1205.70	294.47	417.12	1034.72	262.11	371.29	921.04
40-44	440.38	582.76	1251.93	400.84	530.44	1139.53	344.00	455.22	977.93	306.20	405.20	870.49
45-49	567.90	714.69	1449.36	516.91	650.53	1319.23	443.61	558.27	1132.15	394.87	496.94	1007.76
50-54	695.65	783.91	1586.17	633.19	713.53	1443.76	543.39	612.34	1239.01	483.69	545.06	1102.89
55-59	866.36	888.20	1775.70	788.58	808.45	1616.27	676.75	693.80	1387.06	602.40	617.58	1234.67
60-64	1209.43	1063.10	2139.66	1100.84	967.65	1947.56	944.73	830.42	1671.37	840.93	739.19	1487.74
65+*	1470.50	1296.06	2460.66	1338.47	1179.70	2239.73	1148.66	1012.40	1922.11	1022.46	901.17	1710.93

* For those not eligible for Medicare

RATES - AREA 3 - Use these rates if you live in Baldwin, Barrow, Berrien, Bibb, Bleckley, Brooks, Burke,
Clarke, Columbia, Crawford, Dodge, Elbert, Emanuel, Glascock, Grady Greene, Hancock, Houston, Jackson,
asper, Jefferson, Jenkins, Johnson, Jones, Lanier, Laurens, Lincoln, Lowndes, Madison, McDuffie, Monroe,
Montgomery, Morgan, Oconee, Oglethorpe, Peach, Pulaski, Putnam, Randolph, Richmond, Screven, Taliaferro,
Telfair, Thomas, Treutlen, Twiggs, Warren, Washington, Wheeler, Wilcox, Wilkes, or Wilkinson County

These rates are available for applicants enrolling January 1, 2010 through March 31, 2010.

	BLUE VALUE SELECT 500			BLUE VALUE SELECT 750			BLUE VALUE SELECT 1,000			BLUE VALUE SELECT 1,500
Age	Male	Female	Family	Male	Female	Family	Male	Female	Family	Male	Female	Family
0-19	$211.77	$211.77	$975.22	$192.75	$192.75	$887.66	$165.42	$165.42	$761.78	$147.24	$147.24	$678.08
20-24	228.44	286.69	1122.11	207.93	260.95	1021.36	178.44	223.95	876.52	158.84	199.34	780.22
25-29	273.90	346.32	1274.93	249.31	315.22	1160.47	213.95	270.52	995.90	190.45	240.80	886.48
30-34	290.58	445.00	1473.68	264.49	405.05	1341.37	226.98	347.61	1151.14	202.04	309.42	1024.67
35-39	370.76	525.19	1302.80	337.47	478.03	1185.83	289.61	410.24	1017.67	257.80	365.17	905.86
40-44	433.13	573.16	1231.30	394.24	521.70	1120.75	338.33	447.72	961.81	301.16	398.53	856.14
45-49	558.54	702.92	1425.48	508.39	639.81	1297.49	436.30	549.07	1113.49	388.36	488.75	991.15
50-54	684.18	770.99	1560.03	622.75	701.77	1419.96	534.44	602.25	1218.59	475.72	536.08	1084.71
55-59	852.09	873.56	1746.44	775.58	795.13	1589.64	665.60	682.37	1364.20	592.47	607.40	1214.32
60-64	1189.50	1045.58	2104.41	1082.70	951.70	1915.46	929.16	816.74	1643.83	827.07	727.01	1463.22
65+*	1446.26	1274.70	2420.11	1316.41	1160.26	2202.83	1129.73	995.72	1890.43	1005.61	886.32	1682.74

* For those not eligible for Medicare

RATES - AREA 4 - Use these rates if you live in Appling, Atkinson, Bacon, Brantley, Bryan, Bulloch, Camden,
Candler, Catoosa, Charlton, Chatham, Chattahoochee, Chattooga, Clay, Clinch, Coffee, Dade, Decatur, Dooly,
Early, Echols, Effingham, Evans, Fannin, Franklin, Gilmer, Glynn, Habersham, Harris, Hart, Jeff Davis, Lamar, Liberty,
Long, Macon, Marion, McIntosh, Meriwether, Miller, Muscogee, Pierce, Pike, Quitman, Rabun, Schley, Seminole, Stephens,
Stewart, Talbot, Tattnall, Taylor, Toombs, Towns, Troup, Upson, Walker, Ware, Wayne or Webster County.

These rates are available for applicants enrolling January 1, 2010 through March 31, 2010.

	BLUE VALUE SELECT 500			BLUE VALUE SELECT 750			BLUE VALUE SELECT 1,000			BLUE VALUE SELECT 1,500
Age	Male	Female	Family	Male	Female	Family	Male	Female	Family	Male	Female	Family
0-19	$204.06	$204.06	$939.75	$185.74	$185.74	$855.37	$159.40	$159.40	$734.07	$141.89	$141.89	$653.42
20-24	220.13	276.27	1081.29	200.37	251.46	984.21	171.95	215.80	844.63	153.06	192.09	751.84
25-29	263.94	333.72	1228.56	240.24	303.76	1118.26	206.17	260.68	959.67	183.52	232.04	854.24
30-34	280.01	428.82	1420.08	254.87	390.32	1292.58	218.72	334.97	1109.27	194.69	298.16	987.40
35-39	357.28	506.08	1255.42	325.20	460.65	1142.70	279.08	395.32	980.65	248.42	351.89	872.91
40-44	417.37	552.31	1186.51	379.90	502.72	1079.99	326.02	431.43	926.83	290.20	384.03	825.00
45-49	538.22	677.35	1373.63	489.90	616.53	1250.30	420.43	529.10	1072.99	374.24	470.97	955.10
50-54	659.30	742.95	1503.29	600.10	676.24	1368.32	515.00	580.34	1174.27	458.42	516.58	1045.26
55-59	821.09	841.79	1682.91	747.37	766.21	1531.82	641.39	657.55	1314.58	570.92	585.31	1170.15
60-64	1146.23	1007.55	2027.86	1043.32	917.09	1845.79	895.36	787.03	1584.03	796.99	700.56	1410.00
65+*	1393.66	1228.34	2332.08	1268.53	1118.06	2122.70	1088.64	959.50	1821.67	969.03	854.08	1621.53

* For those not eligible for Medicare

RATES - AREA 5 - Use these rates if you live in Ben Hill, Calhoun, Colquitt, Cook, Crisp, Dougherty,
Irwin, Lee, Terrell, Tift, Turner, or Worth County

These rates are available for applicants enrolling January 1, 2010 through March 31, 2010.

	BLUE VALUE SELECT 500			BLUE VALUE SELECT 750			BLUE VALUE SELECT 1,000			BLUE VALUE SELECT 1,500
Age	Male	Female	Family	Male	Female	Family	Male	Female	Family	Male	Female	Family
0-19	$234.04	$234.04	$1077.81	$213.03	$213.03	$981.04	$182.82	$182.82	$841.91	$162.73	$162.73	$749.42
20-24	252.47	316.85	1240.15	229.81	288.41	1128.80	197.22	247.51	968.72	175.55	220.31	862.29
25-29	302.72	382.75	1409.05	275.54	348.38	1282.54	236.46	298.98	1100.66	210.48	266.13	979.73
30-34	321.15	491.82	1628.70	292.31	447.66	1482.47	250.86	384.18	1272.24	223.30	341.97	1132.46
35-39	409.76	580.44	1439.85	372.97	528.32	1310.58	320.08	453.40	1124.72	284.91	403.59	1001.15
40-44	478.69	633.45	1360.83	435.71	576.58	1238.65	373.92	494.81	1062.99	332.84	440.45	946.20
45-49	617.30	776.86	1575.43	561.87	707.11	1433.98	482.19	606.83	1230.62	429.22	540.16	1095.42
50-54	756.16	852.10	1724.14	688.27	775.59	1569.34	590.66	665.60	1346.78	525.77	592.48	1198.82
55-59	941.72	965.46	1930.16	857.17	878.77	1756.86	735.61	754.15	1507.71	654.79	671.30	1342.07
60-64	1314.63	1155.57	2325.78	1196.60	1051.82	2116.96	1026.90	902.66	1816.75	914.08	803.48	1617.15
65+*	1598.41	1408.80	2674.70	1454.90	1282.31	2434.56	1248.57	1100.46	2089.30	1111.40	979.56	1859.76

* For those not eligible for Medicare

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